=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740129279
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ADJUST ROANOKE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/27/2026
-----------------------------------------------------
Last Update Date | 03/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4370 STARKEY RD STE 2
-----------------------------------------------------
City | ROANOKE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24018-0603
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-344-2000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4370 STARKEY RD STE 2
-----------------------------------------------------
City | ROANOKE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24018-0603
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-344-2000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR
-----------------------------------------------------
Name | DR. SEAN SKINNER
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 315-246-1841
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------